Basic Information
| Provider Information | |||||||||
| NPI: | 1548476278 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JOHN C CHANEY MD FCCP PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3 MARYLAND FARMS | ||||||||
| Address2: | SUITE 250 | ||||||||
| City: | BRENTWOOD | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370275005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8006613365 | ||||||||
| FaxNumber: | 8666894661 | ||||||||
| Practice Location | |||||||||
| Address1: | 930 MAR WALT DR. | ||||||||
| Address2: | SUITE A | ||||||||
| City: | FT. WALTON BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 32547 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8502430118 | ||||||||
| FaxNumber: | 8502430594 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/16/2007 | ||||||||
| LastUpdateDate: | 09/04/2007 | ||||||||
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| AuthorizedOfficialLastName: | CHANEY | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER DIRECTOR PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 8502430118 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RP1001X | ME97823 | FL | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
No ID Information.